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HomeMy WebLinkAbout4355DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 84. -1 -68 BOX 33 04355 m oil '1 %, ;; Ll 1 I i } L rl I �• I :� 04355 UTNAM COUNTY DEPARTMENT OF HEALT f SION OF ENVIRONMENTAL HEALTH S.ER4 _ 1 'RY3('I'ItON r Y %:l rr Ok SEWAGE: i'�A''T' M ENT SYSTEM PERMIT # T V Located at MARSH Hl LL ROAD Town or Village _NTNAM VALLEY Subdivision name EMERALD R1 D( E Subd. Lot # 8 Tax Map 814 Block Lot 68 Date Subdivision Approved NOVEMSER 19; 200% Renewal Revision Owner /Applicant Name Vs. CbN5TRUCr1eN Date of Previous Approval Mailing Address Y+ CROToN %)AM ROAD. 0SSIN /N6$ 11/EW YORK Zip 10562 1. Amount of Fee Enclosed 4500-00 Building Type 31N6r[E AMtg_ Lot Area 8.Uq No. of Bedrooms Design Flow GPD 800 RkAIDPAIra y (rrrr-sy II �" Fill Section Only v _ _ Depth Volume Separate Sewerage System to consist of 1, 500 gallon septic tank and y00 L. F OF 4" O Pytsoiumip PVC PIPE /N 2y" 6p4yB4 '. Other Requirements: NONE To be constructed by "r .B - D. Address Water Supply: Public Supply From Address "Surp13'= ?Jriile by �'a5�. _ - _ ..:, . Addr`s "s I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder that said builder will place in good o rating condition any part of said sewage treatment system during the pe ' �oftvib s immediately followin a to of the issuance of the approval of the Certificate of Construction Co system or any Signed: P.E. R.A. Address 2 JOHN WALSM BWIAVaRp, P= EKSKILL ,wy Zb566 License # v v la , at . 62980 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unle �onsl . 00— 61e sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or ma `=bezarnended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Approved for discharge of domestic sanitary sewage only. By: Title: P 1716 Date: Z,12 "j 0,? White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 r v 1lNhlvl L.v UiN 1 11JLYAKI IV1EINT OY HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SELVAGE TREATMENT SYSTEM - Owner °d5- 0�is�si2v�•'l v i'co2a• " •f ` . _ _� °A ¢- 37 Gi TDfN .� � - y ddress DAM IL 2 0� N. S y b Located at (Street) MAVt Iq ti' u- RbAp. Tax Map 8lq Block I Lot S (indicate nearest cross.street) PbR- ild,vf of $d}— I — 10.11 Io -z� 10.3 icipality -1-i Fo�Am y611,Ey . Drainage Basin.. p&' kLL- w gtzoaK SOIL PERCOLATION TEST DATA Date of Pre- soaking 61-06-04- Date of Percolation Test 017- aq- .*+ Role No. Run No. Time Start - Stop Ela n se Time (iYfin.) De P th to Water Irom Ground Surface (Inches) Start Stop Water Level Drop n Inches Percolation Rate MinAnch 2 3 L104- x,21 4 `5 66 l b�3_�b�s I Z �� —z-► 3 tO �... 4 5 2 5. NOTES: 1. ,`Tests to be re p eated.at same depth until approximately equal percola'tion rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. ` 2. :Depth measurements to be made from top of hole. Form DD -97 V TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO[ M1 HOLE N0^. . 17 HOLE N0. .. �., .s.c n.- .Jm•.'.: YF'G.�[.:- b :lO.- .� \:!' �� _r.. e'n t•y ° <r +�. -. . �.. �ry[+t4� '_4[ x M ..tea . G:L. ,P Seri L' _MP `501 0.5' 1.0' ti 1.5' LV3 t�l6 b� SxOk N f Ale 2.0' 41t*w %1- 49ANb2,,4 co3Bles a_ 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' _.._.. 10.0' Indicate level at which groundwater is encountered N ®N e epauliyAeb Indicate level at which mottling is observed �® PG. otsllg o" Indicate level to. which water level rises after being encountered NtA • Z. • &S Deep hole observations made by: r_&NIA L,�GIMMUAJG E. �G, Date .e -7 . Design Professional Name: A. Address: 2� 30� ftj L4. Si Design Professiona arv+ m •aS FOYER .ar S� 2' -6 3/4' 4� S'-0 3/4' O�s•t a +-a .a}t u• n 14-6' 1 9._5. 154'-0' 146-6' , 37'-9- 4 LLS B 16' O.C./2x4 HARR WALLS 04- 2852M, sllr STUDS CVP. O.C. CaVP3603) BTU LOSS 43 PSF SNOW LOAD - dD SN- /QN- 5034L /NY I 1® 4C4`WiR� HMm 1111laE. ! SIRImIID � oo--snc sr o)urn � o' m .DM FAMILY ROC I � zaam ton _ b e$544 VW IK" rile I.IO(r rlmvv I � nra vorr wlarn " 1 I —. I C'�II }• I! v m , I �--� II - -� M➢1 � f1 VY -- k i• LOT S V.S. CONSTRUCTION CORP./GEORGE ) .B' -4 3/16' ' O D ra 4r,44 mr ✓1r641r Mv1aM 1� HUAM 1411111[. L 314E1d0 O/dllt M tm.EN ®. 7 LIVING ROM —75 SO `�` 6 UGH' •a Aaa VEAL Era B -0 14'-1 t/2 HOUSE PLANS APPROVED Y BEDROOMS 1 Ar M nCyuLL 45' -S 3 /8' 42-1 1/2' —sro 34' -4 1/4' .mt lour 1100 PLF 4 - r nmi t r - T 2A 1!• -5 l /2� � 'r y 3 sy s vdr 4e SOU aYn N4t Lwt )' Iaa a-z�u srr.z ?• Na ura yr rrra +• cn u 11m .Ia. l 1` rl �I w�a m°•a 2 ' t aw tr4 -stm In amm 11 ry - a24 tt4 4t'♦ . I I -6 7 /8' -• ON -SITE STEEL HEADER DESIGNED, PROVlDEED, AND IN TALLE I I I 1 IN -SITE BY HUD -DER TEr � ii 1 I a.rsc tlR L4' 4 •. • m � � H � � KITCHEN mar c -,� 3 .I l2' -:• 20'-6' SYSTEM APPROVAL # b aB1 Y4 124 31 58 JEFFFRSO RR.BR 80r W3 6 w /20 11 GARAGE 812 BUI �� Pa N7aa 1ST STORY ! (717) 444 -saHa w- NOOK :>7 � �• FT I4as C.mrt amv DIND4G ROOM `I®` t.a Y 1°w TV w v:Hr aA�R ', aua Imlr s)arvv �� - IiaN�lIDtf a w vm EOD � I L 6'-0' I , Lvs Vplr sMV't nta va�ir 4�ro 2' -3T I 38'_2' Y 51 �, I � warn .aK 11Lr j. tm N }34 9I4L g• -1 RR .mutt A�aLr�•' ' y � - - -. � 1 ... Lf�S• c �YC "tt!•rct� arv+ m •aS FOYER .ar S� 2' -6 3/4' 4� S'-0 3/4' O�s•t a +-a .a}t u• n 14-6' 1 9._5. 154'-0' 146-6' , 37'-9- 4 LLS B 16' O.C./2x4 HARR WALLS 04- 2852M, sllr STUDS CVP. O.C. CaVP3603) BTU LOSS 43 PSF SNOW LOAD - dD SN- /QN- 5034L /NY I 1® 4C4`WiR� HMm 1111laE. ! SIRImIID � oo--snc sr o)urn � o' m .DM FAMILY ROC I � zaam ton _ b e$544 VW IK" rile I.IO(r rlmvv I � nra vorr wlarn " 1 I —. I C'�II }• I! v m , I �--� II - -� M➢1 � f1 VY -- k a j 1 ) .B' -4 3/16' Dl rill O D ra 4r,44 mr ✓1r641r Mv1aM 1� HUAM 1411111[. L 314E1d0 O/dllt M tm.EN ®. 7 LIVING ROM —75 SO `�` 6 UGH' •a Aaa VEAL Era ® sass tmlr 4sm4 Rss vnn rNmwD arv+ m •aS FOYER .ar S� 2' -6 3/4' 4� S'-0 3/4' O�s•t a +-a .a}t u• n 14-6' 1 9._5. 154'-0' 146-6' , 37'-9- 4 LLS B 16' O.C./2x4 HARR WALLS 04- 2852M, sllr STUDS CVP. O.C. CaVP3603) BTU LOSS 43 PSF SNOW LOAD - dD SN- /QN- 5034L /NY I 1® 4C4`WiR� HMm 1111laE. ! SIRImIID � oo--snc sr o)urn � o' m .DM FAMILY ROC I � zaam ton _ b e$544 VW IK" rile I.IO(r rlmvv I � nra vorr wlarn " 1 I —. I C'�II }• I! v m , I �--� II t i A' 1.= 1' 1{ G e II k j 1 ) .B' -4 3/16' Dl rill O 1� a Y Z-LA YER S 5/B' TYPE '%' GYP ON GARAGE CLG OPaT 'A') 6 'tea SEE NOTE Bm HOUSE PLANS APPROVED Y BEDROOMS 1 1 a-M T12. 9 e .mt lour 1100 PLF 4 � r1 ve'm vs• HI.. Z`od' - T 2A T rs � 'r y 3 GARAGE I I SOU aYn o_ I ?• Na ura yr rrra +• cn u 11m .Ia. l 1` rl �I w�a m°•a 2 ' t aw tr4 -stm In amm 11 v>T PANELIZED GARAGE WALLS I I -6 7 /8' -• ON -SITE STEEL HEADER DESIGNED, PROVlDEED, AND IN TALLE I I I 1 IN -SITE BY HUD -DER TEr � ii 1 I r • emtd -a m aaN 6 H 19' -5 3/4' l2' -:• 20'-6' SYSTEM APPROVAL # I M 0497 -02 -073 31 58 JEFFFRSO RR.BR 80r W3 6 w /20 11 GARAGE 812 BUI �� Pa N7aa 1ST STORY ! (717) 444 -saHa w- t i A' 1.= 1' 1{ G e E O U k @ nn O 1� a Y 6 &'BEDROO`A COUNT ONLY. L HOUSE PLANS APPROVED Y BEDROOMS $ O 9 e 4 N Z`od' T 2A � � 'r y 3 03 i� L AI b z ^l• d > Z + -e a r Do laj 9 � V) i 5 W CI Z c r 7 r W m a • � .5 � p..o- a •D° u 1 m w 3 `o C 11 k @ O a- 0 PUTNAM COUNTyDDEPARTME T OFF HEALTH 6 &'BEDROO`A COUNT ONLY. L HOUSE PLANS APPROVED Y BEDROOMS y a. ALL SUBSEQUENT REVISiON/A!.rERATIONS TO THESE HOUSE e PLANS MUST BE SUBMITTED WTHc PCOOH FOR APPROVAL Z`od' T 2A SIGNATURE & TITLE %; DATE U„I, V4' -1' -0- LL (, XL16747 o_ l 1` rl i r1 • 2 ' t V.S. CONSTRUCTJQN CORP. /�F ��RGE 1 - 46- 3/4' • 0.1M1T4' -B' rail PI AU 43. -4' ' xv q PgywL 47' -1 5/8' 1 1 a2' -/2' i.3.�7' -5 1/2' IIV ax PaC-MAL Y aii• 1 r- ai Y4' ! xoo }� srsiz 39 l0 xow a-zs i I5-0' 2' -0' 2' l6' -7' �1 44 CLD ') 5.76 �j 8¢ i i rS 1'4 �' ea lui�imn is sui v 7 naz vpr no _ ' � FS '.1 E oAi va,wmb>Ap1 CDas ¢ry mns m aor w Yu cL8 L13 Vz TO.L aiame R a/r 4 4IS 3' -4 1/2' l 1 4 -3 2 3' -3'� 1 133.p• !• i rM el [A13[ as v bvLA '.� 2 t S' -4 1 ae"•,°ap• I l, a I au[n °." n anmA ,� a,4 I ra I I rAx 1 scb iiP�Glli coifs HALL I _ g 1 HOAY I f!•, app aL• M01� H614T 3 N 7 _ /7_ /r /�/ vszi vsei / r�c>xi4 —T F. ?6 91-V 31- 4' -2' 14' -3' • CL13 l�l S _ LMONG -L • S Isc vi• .r, Y 3 1/2 by WIIAA !Q 'O. �• p or IAL. MAD m m-ii�' NYmf1 ®6WT �'B. a N. BEDRDDN b2 r a '• 1t L. ipR -AG VMT CPO >Af VCf R09 Vd 03 ew uwr nmvv 12' -3 V2'- L/ luz vt>rt Nmvro Iti P, P 14-111/2' 9' -0 1/2' NR [ n• xa[ b 77' [Mmr mr 1➢FS bw Anl[ xpe am W.. N[[ [ b7 ve• rLe raeoUl xroe > o _ rxiimi6 Si 2'-6 3 /t' t� 5'-0 3/4' 4e'na 3/4 37'_ ' •_3• __ 1 4' -0' 7 . a. S�— • � NAb wv Y vi•,Y aiz C 1 .: 6'-3 1/2' NOTES 1.2x6 EKT /VALLS 8 l6' 0C./2x4 MARR VALLS 2.8' -0' CLG HT. .3.2x10 SP b2 hOOR JOISTS 0 16' O.C. s/ JOIST HANGERS 4. ROOF SYSTEM TO BE 16' r- S.MV BRICK MOULD DEL HU G VINDGVS CTVBD)6 41= 24210!, 42- 2942M' 03M- -W46M, 84= 2852M, 811-28S6EM) 6. FLR 7. FLR GIRDER UNDER V.I.C. TO BE- . 6- Oxld ll'`SYPM24' ML C6.L4) E B. FLA GIRDER UNDER BAT118I /8RbZ TO BE. 2 -1 I /2'x9 V4'xl4' -0' M.L. (61.9) 9. CLG BEAM OVER HALL TO BE. 2 -1 I /2'xI6'xl8' -0' N.L. (7.LU 10.2 - DENOTES CENTRAL VAC OUTLET Y 1 i 44 Ii 6 V.S. CONSTRUCTION CORP. /GEORGE SN- /ON- 5034L/N' 4'• i� 6'- 0'O4AX) _ _ _____ __ _____________ _________ _______ ______ _____ 1 fi ____ _________ __ _____ _____ ___ ______ _______ ___ U I nwr[ 1 r I Ir __ -___ - - -- - -- -------- - -- - -- ------------------------------ =-- - - - - -- . IA• o« m' Mod a41: pRa@.OL IyOarga 111 m1YL ------------- - - - - -- - - - -- I I I I 1 I <Maal craws cFg1110:0 fiR m ac VIEM aARffDl fr6IDa a•O p IEla1r N WEI I aQ ®c avllmrr fa 16w. alamalorta I I i J• 1 j I COLUMN SPACING BASED ON • I I I d •t 4 -9 1/4' M.L. CENTER GIRDER p L) • 1 I v- ] I 1 1 BEDROOMS L_ P 3 ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO Tl'IE PCOOH FOR APPROVAL 1 I I •�. 1 1 1 I a y •• 1 11 I E; 5t 9 I"'3' = t38 9 7r7 tO e� 2r•9�6 I 1 6C9 64' I I I I • -2'- 7-0' 1 -5' 2 -0• 2 -11 1 I r- -� I �+ 1 1 --~ I - - -- - -1- -+ + -- - -- - - -� '�- -- -- -- I - -- - -- -- -� - -- -- - I I 1 1 I 1 1� L --- J L___J L___J -__ L___J L___J I 50._7 2'-21 1 n I �,,, •,�� - -- ------------------ J 1 �I I a 1 II I lm opps0a °' n r I I 1 I - 1 i 1 I I I I I ______ -J I 1 1 � � " 1 I m- a[a•o I I I t_ l • L- ----- °------- ------ -- = ------� 1 naa N j ____ ___ ___ __ ______ ______ 1 - ml. am•a GARAGE 1 -- - - - -- -- I 'UNEXGVATED' 1 I 1 I` I 1 i 1 I I I 1 I I,1 L----------- ',I - - - -- I I51-6 1/2' 9' WMA o rlas rafa.rld savoy A10 farts A$ rw atvrcv arLr. ncllr� rpsmsasl sav+1 ! _ 1 =_ ar av[ m c AMMpKa sr w alssesslda OaOEOI d w a6R0aaJ Ma1nm,. D YL mRTdCIN1 afa alaQaLS a6DY IIC farrd UL, 11LR1 JRSR R [K Kvommm •. _____ ___ ___ ________ ____ _____ ______ I -• cm 10 O[iCe @ImIF .1?d�Mltg Ylp� C1mQ Lip16 a anrslm asom wr cameo Ar ar,ru rAlaa [wrens. . a> tnur eals+aa na ra c L m uaM AAr IaiaAS sszs rrra u lalQ, ..., s1m11 I1w e. wen ff v uar. Aa R 1m[usa E Me l2' -75 :• 2W-6' RmO [ l. orry d rtIDa 7[.v{ a0 r�wluar N i taRiano�tr[0e11ccLL �MtGa�c� a mnae fiw 1 e o rllwOarml aas asnm v® rO vo® mloaa•s s eslasr pars. itavac SYSTEM APPR VAL # M 0497-02 -07 3 I1a1a MO tma4' TO Waallla Ili rasaalml P srrauaw R pm /a01p11a1 al aC OraS�Za p 1G4,M Ma VtDIN ra aCai®.arG e1 na�cium1O0�"i vawmo°a ci miawiu a sugar ra ipi ,w AA /8 BOi Bes FOUNDATION PLAN l r taut mla a rte v aos[ tnlQ• ilcaa n slat Mo mow "moll swu c lay v M imsot i0 ROVm[ Ma paTALL aaa wi p lalT a7 dm Iaa2. pm - lJSER:'D04 PA 17pf6 (717) III -eJ96 n all/20/2007 Im- Od faamlTL1 faAlaaQ • 1ma[M a',aY AtTEii Vaa1f p @i L WpHt I� eSes varts vDm r s IXOOR IIm v1GVIGf IlRO s Rene ARFw VfiM VORLATD7l [J y z f'AI (717) 1{I -7677 �P t /1' =I' -0' m $ IXm M7lV aafo:sme aCI aaa r rot Aaarlvlu fate Mal mAS.s la I'ir>rr♦,10�4=,luRjsvar"":s"[ `a�ie G °amio�l1prt,lufl�"'E tws 1[n lipr- A- lalaA) PROM THE INSIDE OUT m•«D-�y InR 11 /m/a) txs xL[e7�7 e r.. 4• i.. t t•� n i° Y- i� U -Q r S � t J• (U y, l y . O d •t p p L) PUTNAM COUNTY � PAfi7ME T OF tALTH a-o� v- HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY. 1 Y BEDROOMS L_ P 3 ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO Tl'IE PCOOH FOR APPROVAL j/.i•; ? /j� fj m/OO L) SIGNATURE & TITLE DATE LL y a 1. E; PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER .SUP.PLY &.SUBSURFACE SEWAGE TREATMENT SYSTEMS _ n'�.' /.p`.°' °� ItEV�, W' SFI RETFORC (yNS2'RUCI'IONTERMfiI' =•... - "_ ". . .�..:-' -� •: •.'��_�,; :p�- u•':::��z�... NAME OF OWNER: �Q�; 1—/2 v C i c STREET LOCATION: /' V4 f Z.r �, %_T REVIEWED BY: RM, GR, AS, S ATE: Z 26 b0 TAX MAPR: (CONFIItMED) " �O Y N DOCUMENTS t� 'Y N (REQUIRED DETAILS ON PLANS CONEDl LL!! UPERMIT APPLICATION (t�—JHOUSE SEWER -' /" FT. 4"0'; TYPE PIPE CAST IRON j_)(_JWELL PERMIT OR PWS LETTER (__7j(__)NO BENDS; MAX BENDS 450 W /CLEANOUT ( ,J (_JPC -97 RENEWALS LETTER OF AUTHORIZATION (_)(_jSTTE NOT CHANGE) DESIGN DATA SHEET (DDS) FILL SYSTEMS CORPORATE RESOLUTION (_)0101 HORIZONTAL; PAS ENCH SLOPES 3: VO GRADE SHORT EAF (�(_JFILL SPECS/ FIL TES 1 -5 PLANS -THREE SETS (_)(_FILL PROF &DIMENSIONS (�( HUSE PLANS - TWO SETS C—)C L PANSION AREA ARIANCE REQUEST FILL GREATER fiHArV 2 FEET SUBDIVISION (—)C CLAY BARRIER LEGAL SUBDIVISION (�(�FILL CERTIFIC ON NOTE SUBDIVISION APPROVAL CHECKED )DEPTH GA S P RC RATE �T (�UVOL. 0 LAN FOR R.O.B., UNCLASSIFIED & IMPERVIOUS (�(LL REQUIRED DEPTH (��)SE TION DISTANCE FROM TOE OF SLOPE (—JC(�}CURTAIN DRAIN REQUIRED GENERAL ( C__)LF TRENCH PROVIDED Yo 60FT MAX. gDCA TED IN NYC WATERSHED �(�PARALLEL TO CONTOURS ANS 5UBMT O PC D DEP 100% EXPANSION PROVIDED LEGATED TO PCHD DETAIL/DUST FREE CRUSHED STONE OR WASHED GRAVEL APPROVAL, IF REQ'D �� (�GEOTEXTILE COVER EP TEST HOLES OBSERVE SEPARATION DISTANCES ON PLAN - FROM SSTS RCS TO BE WITNESSED (?�U10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL UUEX- APPROVAL SSDS ADJ, LOTS (jeNr_)20' TO FOUNDATION WALLS U WETLANDS (TOWN/DEC PERMIT REQ'D ?) ('100' TO WELL, 200' IN DLOD,150' TO PITS (__)DATA ON DDS PLANS &PERMIT SAME 0)100' TO STREAM, WATERCOURSE, LAKE • (inc. expan) (�( PRE 1969 NEIGHBOR NOTIFICATION (z2� (50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER LETTER BUZBA ., _< .... :.. T., • ;(10 TO;WATER_LINE its �3'00011, -YR. FEOODELEVAnON`W /I 200' - "r TESTING LOTS >10 YEARS OLD 200'/500' RESERVOIR, ETC. _ 150' GALLEY SYSTEMS REQUIRED DETAILS ON PLANS 10' MIN TO LEDGE OUTCROP ej' SEPTIC TA USEWAGE SYSTEM PLAN - (NORTH ARROW) NK LZ(J55D5 HYDRAULIC $ROFILE (Z)(_J10' FROM FOUNDATION; 50' TO WELL (� GRAVITY FLOW WELL CONSTRUCTION NOTES 1 -YS'4 ?2 U DIMENSIONS TO PROPERTY LINES/-1/9 �DESIGN DATA: PERC & DEEP RESULTS LOCATION OF SERVICE CONNECTION 2' CONTOURS EXISTING &PROPOSED - (4eC _JMIN 15' TO PROPERTY LINE (CA DRIVEWAY & SLOPES, CUT SSLOO _FOOTING /GUTTER/CURTAIN DRAINS ((SLOPE IN SSTS AREA 2• (520 %) USDA SOIL TYPE BOUNDARIES U(�REGRADED TO 15 %, IF REQUIRED ' (�L___)TITLE BLOCK; OWNERS NAME ADDRESS DOSE/Pump S S TM #, PE/RA; NAME, ADDRESS,'PHONE# (�_)UPUMP NOTES UUDATE OF DRAWING/REVISION (_),DOSE 75% OF P LUME/DOSE VOLUME NOTED (�(JDATUM REFERENCE L�(_JDETAIL F ORCE MAIN, (PIPE TYPE, ETC.) (LOCATION OF WATERCOURSES, PONDS ,' (�(�PI D -BOX SHOWN & DETAILED / LAKES,WETLAND5 WITHIN 200' OF P.L. U(� DAY STORAGE ABOVE ALARM L_)LJPROPOSED FINISH FLOOR AND CUR BASEMENT ELEVATIONS (-J(JSTANDPIPES 5' BOT S DETAIL WELLS & SSDS'S WAN 200' OF SSTS ( _)L_)15' MIN to CD S= o, 20'-4%,25'-3%,35'-l%, 100%-<I% PROPERTY METES & BOUNDS L_)L _j20' MIN to ISCHARGE /100' with 182 cons day discharge ( ✓EROSION CONTROL FOR HOUSE, WELL & x)(_)10' to NON - PERFORATED PIPE SSTS, EROSION CONTROL NOTE COMMENTS: (R EV S I I L' ET) 09/01 /0 0 rt .- % 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL ENTAIL HEAILTH SERVICES APPLWATION FOR APPROVAL OF PLANS ]FOR A WASTEWATER TREATMENT SYSTEM Name and address of applicant: V.S. Construction Corporation 37 Croton Dam Road Ossining, New York 10562 2. Name of Project: Emerald Kluge- Lot 8 4. Design Professional: Timothy L. Cronin 111 6. Drainage Basin: Peekskill Hollow Brook 7. Tune of Project: 8. 9. 10. 11. 3. Location: TN: Putnam Valley 5. Address: 2 John Walsh Boulevard Peekskill, New York 10566 e9 Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision Commercial Mobile Home Park Other (specify) _ Is this project subject to State Environmental Quality Review (SEAR) ? .............. Yes/No No Type Status (check one) ...................................... ............................... Type I Exempt Type H Unlisted Is a Draft Environmental Impact Statement (DEIS) required ? .................... Yes/No No Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No - NIA Name of Lead Agency Not Applicable 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ............................................................. ............................... Yes NO Yes : -., _, ........ eeii submitted.to ;such auth ®riti�? ........:.......:.Yes/Nq,� _ • . . .1' a_ If so, .live: Rlarig;b; 14. Has preliminary approval been granted by such authorities? NIA Date granted. NIA 15. Type of sewage treatment system discharge ........................ surface water V groundwater 16. If surface water discharge, what is the stream class designation? .......................... N/A 17. Waters index number (surface) ............................................. ............................... NIA 18. Is project located near a public water supply system? . ............................... Yes/No None 19. If yes, name of water supply Not Applicable Distance to water supply NIA 20. Is project site near a public sewage collection or treatment system? .......... Yes/No None 21. Name of sewage system Not Applicable Distance to sewage system N/A 22. Date test holes observed 23. Name of Health Inspector 24. Project design flow (gallons per day) .......... B®® GPO 25, Is State Pollutant Discharge Elimination system'(SPDES) Permit required? ... Yes/No No 26. Has SPDES Application been submitted to local DEC office? ......................... Yes/No NIA Rev. 11/02 Form PC -97 Pg. 1 of 2 r •b 27. Is any portion of this project located within a designated Town or State wetland ?... Yes/No No �'8:_ �_` .. _..�i -' _ - _ _ •.a9 �Y i . •?* krr.%r'�e '.n.� _ _ Y:. {.. ...... �.Nl „ �Rt a'II r, .�:�'7;n•+'ki ^.%ir.`�.� ..�. Wetl' atiI�rivmber, ............... r................................................ :.......................:.... . 29. Is Wetlands Permit required? ...................................... ............................... Yes/No No Has application been made to Town or Local DEC ........................... Yes/No NIA 30. Does project require a DEC Stream Disturbance Permit? .... .........................Yes/No No 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ................... ............................... .............Yes/No No 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ................................... ............................... Yes/No No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? .........................Yes/No Yes 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? .................................. .........................Yes/No No 35. Are any sewage treatment areas in excess of 15% slope? .............................. Yes/No No 36. Tax Map ID Number .............. ............................... Map 84.00 Block 1 Lot 68 37. Approved plans are to be returned to ................ Applicant * Design Professional �Fd4EE; All-applicatioris for review aml apjiioval of °anew SS'I S to be-located within the-NYC -' Watershed-shall ' be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to this provision may be grounds for the rejection of any submission. ,,ok" .'V y �-. C,; pN I hereby affirm, under penalty ofperjury, that inforovi nth o ; is true to the best of my knowledge and belief. False statements made h + are p Via. le A misdemeanor pursuant to Section 210.45 of the Penal Lawi SIGNATURES & OFFICIAL TITLES: Timothy L. Croni ,629so Mailing Address: ........................... Cronin En ineerin . NOFESS�o 2 John Walsh Boulevar . _..`. skill. NY Form PC -97 LETTER OF AUTHORIZATION RE' Property of V.S. Construction Corp. Located at Marsh Hill Road FIN Putnam Valley Tax Map # Subdivision of Emerald Ridge Subdivision Lot # 8 Gentlemen: 84 Block 1 Lot W 0 30103 9 Filed Map # 3063(4-J Date Filed JV6dM6ER '? 9j Zoo's This letter is to authorize Timothy L. Cronin III, P.E. a duly licensed Professional Engineer LL or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Departmen Xd to sign all necessary papers on my behalf in connection with this matter and to supery ` the diil't'strangn of said wastewater tretment and/or water supply systems in conformity with sfwiis ortitrle 145 and /or 147 of the du tion Law,..the Public.Health. our1 S}aiiita ©de. _ Very trul y ur , \, C+ �' f �u Countersigned: ��,,, � 62580 7 Signed: P.E., R.A., # 0629 G tiN 010 =', ( ner f roperry) Mailing Address Cronin Engineering P.E., P.C. 2 John Walsh Boulevard, Peekskill State New York Zip 10566 Telephone: (914) 736 -3664 Mailing Address: V.S. Construction Corp. 37 Croton Dam Road, Ossining State New York Telephone: (914) 447 -4647 Zip 10562 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH .SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: Subsurface Sewage Treatment System Construction Permit (TM #: $y-1• -(08 ) I. Val Santucci represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: V. S. Construction Corp. Having offices at: 37 Croton Dam Road, Ossining, New York 10562 Whose Officers Are: President - Name: Val Santucci Address: 37 Croton Dam Road, Ossining, New York 10562 Vice President - Name: Address: Secretary -Name: Treasurer - Name: Address: and that I am and will be individually responsible for any i to the approval requested and all subsequent acts relating Sworn to before me this 0:5- day of ,qq {mo Notary Commission Expires 0ecnmi)er 16, Signed: Title: the corporation with respect -D 61720 Appendiu C State Environmental Qa� aflt i Review �jjj _ ... �' V' 9+ r+ 7T' �' tttt' �• �+, �°. a°.. Y. ��Y!< Y. ���J'. n. '�:'911�����.P.�l�..�.�YM°e��. _ •..aT�e ,c..^ ".4 •n.^lnI 1 For UG USTE® ACTONS Only PART I -PROJECT INFORMATION To be completed b A licant or Pro ect S nsor 1. APPLICANT /SPONSOR 2. PROJECT NAME V.S. Construction Corporation Construction of Single Family Residence 3. PROJECT LOCATION: Municipality Town of Putnam Valley County Putnam County 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) West side of Marsh Hill Road, 2650 ft. north of intersection of Marsh Hill Road and Peekskill Hollow Road 5. PROPOSED ACTION IS: New Expansion E] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construction of a new single family residence, SSTS and Private Well Supply. 7. AMOUNT OF LAND AFFECTED: Initially 8.764 acres Ultimately 8.764 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 0 Yes 0 No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 21 Residential M Industrial Commercial F1 Agriculture Park/Forest/Open Space 11 Other Describe: Surrounding lands are zoned R -2 (Single Family Residential) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? aYes No If Yes, list agency(s) name and permil/approvals: Town of Putnam Valley- Building Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 0 Yes No If Yes, list agency(s) name and permWapprovals: Town of Putnam Valley- Site Development Approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? Yes 91 No I CERTIFY THAIJMEJ.NFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: mn Engine g, P.E., P.C./ James W. Teed, Jr. Date: ® OS_13441 Signature: of th cgIon is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form beffom proceeding vAth this assessment OVER 1 PART II - IMPACT ASSESSMENT (To be cornDleted by Lead Aaencv) A. DOES ACTION E D ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. 11 Yes 310 0 -•B. - WILL ACTION RECE VE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative, ` dedaration maybe peisaded by another involved agency`' _ . Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: OV � C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: b C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as offichft adopted, or a change in use or Intensity of use of land or other natural resources? Explain briefly: �✓ 6 CS. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in CI-CS? Explain briefly: C7. Other Impacts (including changes in use of either quantity or type of energy)? Explain briefly: �v D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENT REA (CEA)? Yes No If Yes, explain briefly: E. IS THERE, OR IS RE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? _Yes _- No . If Yes,. explaln.briefly: :'.7 ....... _ -- - PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility, (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box If you have identified one or more potentially large orsignificant adverse Impacts which MAY occur. Then proceed directly to the and /or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed a ction NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determin 'J -G,J JJ Name of Lead Agency � nt—or Type NAw a ea ency Signature of Responsible Officer in Lead Agency Date A Jq 6 Tide of Responsible Officer Signature of Preparer (If different from response officer • cf l• wy'3• 'RQNINENGRNEERING, PE, PC T eaind "y. R:ailsling;,Suite. QQ;- 2:J,oh �Wal h Bc�ulevard,,Peekskill LV! Xork10.566-_ Tel.: 914 - 736 -3664 o Fax: 914 - 736 -3693 February 5, 2008 Mr. Joseph Paravati Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re. V. S. Consfmctfon Corp.- Emerald Ridge SSTS Consftcfion Permit Marsh Hill Road- Lot 8 Town of PuWam Halley, New York Section: 849 00, Bloch. 9, Lot: 68 Dear Mr. Paravati, Please find enclosed the following regarding an application for a Subsurface Sewage Treatment Construction Permit Renewal at the above referenced lot: 1. One (1) Affidavit of Corporate Ownership authorizing Val Santucci to represent V.S. Construction Corporation. 2. One (1) Letter of Authorization authorizing Cronin Engineering P. E., P.C. to apply for a construction permit at the above referenced lot. 3. One (1) Certified check for $500 made payable to the Putnam County Health Department on behalf of the above referenced application -:4, -- i(i0 {4) SUbsttffaee Sevvaage -Treat meat. SysteiTi. Const4�u6tiort :Permit-PJansbr_the..above t ,:,�.... _..:�.. referenced lot. 5. Four (4) Subsurface Sewage Treatment System Construction Permit Applications for the above referenced lot. 6. One (1) Application for Approval of Plans for a Wastewater Treatment System 7. One (1) NYSDEC SEQR Short Environmental Assessment Form. 8. One (1) Design Data Sheet 9. Three (3) Sets of proposed House Plans at the above referenced lot. Should you have any questions or require additional information, please do not hesitate in contacting me at the number above. Respectfully Submitted, J Teed, Jr. Project Engineer cc: Owner- Val Santucci (V.S. Construction Corp.) File- Paravati-PCDH- Santucci - Emerald -Lot &Trans jt- 20080205.doc DANIEL A. CIARCIA, P.E. 2451 Mohansic Avenue • Yorktown Heights New York 10598 (914) 245 -5670 fax (914) 245 -5670 Consulting Engineer Mr. Joseph S. Paravati, Jr., P.E Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Re: Emerald Ridge Lots 3 & 8 Putnam Valley (T) Construction Permit Renewal Dear Mr. Paravati: July 21, 201'0 Please be advised that I have no objection to releasing the approved construction permits for Emerald Ridge Lots 3 and 8 to Armando Santucci or Val Santucci. Should you have any questions, or require additional information, please call. Sincerely Daniel A. Ciarcia DAC:mc IFUTNAM COUNTY DEPARTMENT OF HEALTH A,4 IIDIIvIIsffoN OF IENWIRONM ENTAL HEALTH S EIRWCCIE� CONSTRUCTION PERMIT IFOR SEWAGE TREATMENT SYSTEM Located at ®/ .� T r Village / 16M Subdivision name Subd. Lot # a Tax Map ON Block Lot Date Subdivision Approved def Owner /Applicant Names ,5' %yr9 fad Mailing Address 3 7 C.- ok, A-m Amount of Fee Enclosed ° ov Renewal � Revision Date of Previous Approval ®-7 Zip lo-5-021 Building Type SiA It 14 Lot Area U74 No. of Bedrooms Jr s 4c Design Flow GPD FPO Fill Section Only Depth Volume PCH D NOTIFICATION IS RIE UIR]EIlD WHEN FILL IS COMPLETED to consist of f ro 0 gallon septic tank and �to 4/-- Other Requirements:�'°s��� ® ✓ To be constructed by e v7, hA Address—? 7 tr.rW64 AM AVS'o� -0i Wateir Su I Public Supply. From Address .*... .. a .....o... ... . <.—-_ „;.. r-..... ... ter. —,s .,:.. ^..,r. � .. s. ... �... wrr r+. ..� -.... .. _...ca is .sv. .. ... or: Private Supply Drilled by �V . " Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Director /Commissioner will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs theAo. Signed: P.E. R.A. late Address 1vxle ����'f� Mcense # APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Director /Commissioner. Any revision or alteration of the approved plan requires a new_noftt. Approv_g4,f6rharge of domestic sanitary sewage only. 6V 61 I. ite opy - HD File; Yellow copy - Build�g Inspector; Pink copy - Owner; Orange copy - Design Professional 5/ Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH . wD.IVISION - OF_ENVIRONMENTAL - HEALTH ,SER- VICES_. N ;: . RE: Property -of LETTER OF AUTHORIZATION V.'S. Construction Corp. Located at Marsh Hill Road TN Putnam Valley Tax Map #84 Block.1 Lot 68 Subdivision of Emerald Ridge Subdi\Asion Subdivision Lot # 8 Filed Map # 3063 Date Filed 11 -19 -07 Gentlemen: This letter is to authorize Daniel A. Ciarcia, P.E. a duly licensed Professional Engineer x or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Ed cat' n La the Public Health Law; andlhe P6tnam County Sanitary Code. Very truly Countersign 'gned: _ P.E., R.A., # (o, Mailing Address 2451 Mohansic Ave. Yorktown Heights State New York Zip Telephone: (914) 245 -5670 10598 Mailing Address: Ossining State New York A 37 Croton Dam Road Telephone: (914) 739 -7362 Zip 10562 Form LA -97 r jLIN ain t,UUIN'I'Y UEYARTMENT OF HEALTH ]DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner �' CO1JS�sfLuralvly cofiP Address 37 G�TDN D,4ry1 [toter O�INI�G N ;y, IoS Located at (Street) Mitt { jf1LJ_ Reap Tax Map 04 Block I Lot S (indicate nearest cross street) Pb�t"tnNi of B�- l - 10.1 I (o.Z� 10.3 icipality a;) Py�Am \I� . Drainage Basin.. h"6 w gCLcpK SOIL PERCOLATION TEST DATA Date of Pre - soaking e1- oB •off Date of Percolation Test 07-v9-4- Hole No. . Run No. Time Start - Stop Ela se Time (pblia.) Dsptb to Water From Ground Surface (Inches) Start Stop Water Level Drop n Incties Percolation Rate bIin/Incb 2 Ius'- 4' :. ;5 66 1 b�3_�b�s � Z �� -Z► 3 6 4 5 2 3 L 4 NOTES: I.., "Tests to be repeated at same depth until approximately equal percolation rates are ootainea at earn percolation test hole. (i.e. s t min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review, 2; >. .Depth measurements to be madc from top of hole. Form DD -97 _. y VT .. n'W -a` ♦ � d �...- .r . ,.. .' .. _ - R -e .�.St 'V.. -. ^D� • „.� �p • �.� .s_ • . ._ P -• S£ �\ �^: TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE N0. /11 HOLE NO. 927, HOLE N0. . __PF So t - 05 6,r Lit 1.5' �.IGbi't.(jRaw�:fi�luE �9ND. C�.�Ytk1 i.•/ 4ol381eS . LtEaiVT3f1 -awN fjNC �1�+11' 2.0' 4,�,Cz. w 40 i; Yes b� acua�'L L.4 cps ele s 2.5' 3.0' 3.5' 4,0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' ' 75 t _8: 0' 8.5' 9.0' 9.5' 10.0' tu Indicate level at which groundwater is encountered N o N e ENCOc,,�lI1 Indicate level at which mottling is observed ire NG oQS�'Ru�-A - Indicate level to which water level rises after being encountered N�A • Z a5 Deep hole observations made by: N 1�j L:1.INC��1G 0.,.P. Date -7 �.s -7.o Design Professional Name: -fIM �`` Y`r� Addres -/ .. N to . 0 LvA % ,Y .. . r / V, Signata""q `r �Z l �'��•'� t 9 � \4 ��y, � - ` : X980 Design Profe.s.sinnal .0 SP ❑ 1 DANIEL A. CIARCIA, P.E. 2451 Mohansic Avenue - Yorktown Heights • New York 10598 (914) 245 -5670 fax (914) 245 -5670 Consulting Engineer Mr. Joseph S. Paravati, Jr., P.E July 16, 2010 Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Re: Emerald Ridge Lot 8 Putnam Valley (T) Construction Permit Renewal Dear Mr. Paravati: I am in receipt of your letter dated July 9, 2010 regarding the construction permit for Emerald Ridge lot 8, and have revised the plans and forms accordingly. The following revised materials are enclosed for your review: 1. ,Con truction Permit Application -for Sewage,Treatment System._. 2. -Design "Data =Sheet '.:._�.. =.. _ . _ _..... r_ ... _.. 3. New plans consisting of the following sheets: a. Emerald Ridge Subdivision prepared for V.S. Construction Corp. Lot 8 Subsurface Sewage Treatment System Plan dated 5 -13 -2010 (Sheet 1 of 2). b. Emerald Ridge Subdivision prepared for V.S. Construction Corp. Lot 8 SSTS Notes and Details 5 -13 -2010 last revised 5 -15 710 (Sheet 2 of 2) Should you have any questions, or require additional information, please call. Sincerely Danie . Garcia DAC:mc cc: Val Santucci Sherlita Amler, MD, MS, IFAAIP Commissioner of Health Robert Morris, PE Director of Environmental Health Dan Ciarcia, P.E. 2451 Mohansic Avenue Yorktown Heights, NY 10598 Dear Mr. Ciarcia, Department ®f IE1'ealth 1 Geneva Road, Brewster, NY 10509 July 9, 2010 Re: Proposed SSTS Renewal — VS Construction Corp. Marsh Hill Road, (T) PV TM # 84 -1 -68, Sub. Lot #8 Robert J. Bondi County Executive This office has receiy_ed,anc yjeyieNe_d themost_recent set.of plans .for-the .above- - --- mentidned project.'Welwould like To offer the following comments for your review and consideration. The design data sheet is stamped by a different engineer. The engineer submitting the application is to stamp the design data sheet. ➢ If the well is existing, the well detail is to be removed from sheet #2, and the construction permit is to note the well is existing. The stone size in the absorption trench detail is to be 3/4" to 1 %z ". When a system is dosed (siphon or pump), the trenches are to be laid level. This office will continue its review upon consideration of the above - mentioned comments. Please free to contact me at (845) 808 -1390 ext. 43157. JP /jmg l Very truly yours, joseph S. Paravati, P.E. Assistant Public Health Engineer ]Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (84"5)225-'5186 -Fax, (845.).:2-25-5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 DANIEL A. CIARCIA, P.E. 2451 Mohansic Avenue - Yorktown Heights • New York 10598 (914) 245 -5670 fax (914) 245 -5670 Consulting Engineer Mr. Joseph S. Paravati, Jr., P.E May 14, 2010 Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster., NY 10509 Re: Emerald Ridge Lot 8 Putnam Valley (T) Construction Permit Renewal Dear Mr: Paravati: I have been retained by V.S. Construction Corp. to renew several of the construction permits within the Emerald Ridge Subdivision which have expired. The following materials are enclose for the purpose of renewing the construction permit for lot 8: 1. Application fee in the form of official check 023318893 in the amount of $500. 2. Letter of Authorization 3: Construction.Permit. Application for�Sewage-Treatment-System. 4. Design Data Sheet 5. New plans consisting of the following sheets: a. Emerald Ridge Subdivision prepared for V.S. Construction Corp. Lot 8 Subsurface Sewage Treatment System Plan dated 5 -13 -2010 (Sheet 1 of 2) b. Emerald Ridge Subdivision prepared for V.S. Construction Corp. Lot 8 SSTS Notes and Details 5 -13 -2010 (Sheet 2 of 2) If the enclosed documents are acceptable, we will submit additional sets of plans for approval. Should you have any questions, or require additional information, please call. Sincerely Daniel A. Ciarcia DAC: me cc: Val Santucci i "i �� •�.�i t i11i �,�p `� !I�i �" •�,i'i 1�� d��i (I)1 i � i � "1i i � S LETTER OF AUTHORIZATION RJEe Property of V.S. Construction Corp. Located at 89 Marsh Hill Road T/V Putnam Valley Tax Map # 84 Block 1 Lot 68 Subdivision of Emerald Ridge o Subdivision Lot # 8 Filed Map # 3063(A -J) Date Filed 11-19-2007 Gentlemen: This letter is* to authorize - a duly licensed Professional Engineer or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by.the Public Health Director of the Putnam County Health Departrimerit, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment d/ water supply systems in confom'-f with the provisions of Article 145 and/or 147 of th n aw, the Public Health Law, and the Putnam County Sanitary Code. Very truly Countersigned: ®$9 P.E., R.A., # Mailing Address Cronin Engineering 39 Arlo Lane, Cortlandt Manor State New'York Zip 10567 ­(914)` 736-3664 Telephone:,..., Signed: Mailing Address: (Val Santucci) 37 Croton Dam Road, Ossining State New York Zip 10562 Telephone; Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: SSTS Construction Permit & Compliance Application I, Val Santucci .i represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: V.S. Construction Corp. Having offices at: 37 Croton Dam Road, Ossining, New York 10562 Whose Officer§ Are: President - Name: Val Santucci 7 Croton D R Y 562- - ..:. 3. ro n am oad, Ossirtiilg', News orl 10 ..__.._ ._ .�...._. Address: __....__..... ._..�Y.__ __....... , ._ _ .. Vice President - Name: Address: Secretary -Name: Address: Treasurer - Name: Address: and that 1, am and will'be individually responsible for any i to the approval requested and all subsequent acts relating Signed: Title: Sworn to before me this 2- day of bu^6eA Notary P K STAUDDHAR Notary Public, State of New York No. ast;r2 Corporate Seal Qualified in Dutchess- County / - Commission Exoires December 16, jq:20I1 i Form CA -97 of 4 corporation with respect "I I`� •��1 6 (1�1 X11 11�1���•��.I ,II�I �1�1 III •��. III •31. III •"142119440,11D, 0 CERTIFICATE OIF CONSTRUCTION COMPLIANCE YOR SEWAGE 'II REATME Y M PCHIID COIc1S7fRUCUON PERMffT # e Located at 89 Hffiai Hu, Rmp Town r Village V�� Owner /Applicant Name q& C"YuMr4 CoAP. Tax Map Block Lot (08 Formerly. Mailing Address Subdivision Name Subd. Lot # a Zip Date Construction Permit Issued by PCHD 3?-J' C91'00 PAM p Sejparzte Seweraft System built by Vi n C0 1y5T eVUTiotX0Pt Address Consisting of Gallon Septic Tank and Aw to r or g `o Peaagi�p Other Requirements: hJ0 N gager SU PPIa': Public Supply From Address ,57— Uftrrr- S V� or: Private Supply Drilled by PUZUbW AUDIEW N Address V Building Type &g &L& kmj1,M gF6, Has erosion control been completed? Number of Bedrooms E7 Has garbage grinder been installed? 0 I certify that the system(s), as listed, serving the abov remtsesjwere constructed essentially as shown on the as- built plans (copies of which are attached) in accor A- - ce;unfl%tli'e iss' eWHD Construction Permit and approved plans and the standards, rules and regulations offth &`Putnam County Department of Health. Ld A u...,e Date: � � �� �%d0 Certified by ,� ° E-A- P.E. X R.A. Address * . ' l Any person occupying premises served by the above &t ( s � rom tl take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revoc 'on, modification or change is necessary. y Date: l: h' copy - HD File; Yellow copy - Bui ing Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 BRUCE R..FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Dhwtor Director of Papent Services Eavirenmentol Health (945) 278 - 6130 Pax (845) 278 - 7921 Nurain8 Service (843) 278 - 6538 WIC (845) 278 - 6678 Fox (843) 279.6085 . Early bterventiow7mchool (845) 278 - 6014 Fox (845) 278-6648 E911 ADDRESS VERIFICATION FORM ► 1.019.14 If" a 0) k) 1;. TAX MAP NUMBER: 84.-1-68 1 ADDRESS: -`' " -W' a� rl 'sh- Hill Road" TOWN: Putnam Valley AUTHORIZED TOWN OFFICIAL: V" (Signature) DATE: 10/7/10 The Putnam County Department of Health will not issue a Certificate of construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E91 I Ver&m) DIVISION OF ENWRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM V.S. Construction Corp. 64 1 66 Owner or Purchaser of Building Tax Map Block Lot V.S. Construction Corp. Building Constructed by 69 Marsh Dill Road Location e Street Single Family Residence Building Type Putnam Valley TownNillage [Emerald Midge Subdivision Name 6 Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that. is has! " ben constructed. as shown on ttv� approved-plan or approved- arnendment.-thereto-, nd-in - accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determinat' n f blic Health Director of he utn County Department of Health as to whether o no h it jo-f the system to op rate a a by the willful or negligent act of the occup of c uil ng utilizing the syste Q All 0 Dat Day 7-1 Year ZO I'D Signature: AAA 1, Title: Pre so en Gen' r C t c or caner) - Signature V.S. Construction Corp. (Val Santucci) V.S. Construction Corp. (Val Santucci) Corporation Name (if corporation) Address: 37 Croton Dane Road, Ossining State New York Zip 10662` Corporation Name (if corporation) Address - 37 Croton Dam Road, Ossining State New York Zip 10562 Form GS -97 f I t YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director LAB #: 1.005514 CLIENT #: 2500 NON STAT PROC PAGE: 1 of 1 ANDERSON WELL DRILLING DATE /TIME TAKEN: 12/21/10 01:25 152 BARGER ST DATE /TIME RECD: 12/21/10 02:00 ATTN: NORMAN, SARAH REPORT DATE: 12/22/10 PUTNAM VALLEY, NY 10579 PHONE: (845)- 528 -1491 SAMPLING SITE: 89 MARSH HILL SAMPLE TYPE..: POTABLE LOT 8 PRESERVATIVES.: NONE COLD BY: TEMPERATURE..: < 4C NOTES...: COLIFORM METH: MF DATE ,,.FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 12/22/10 MF T. COLIFORM ABSENT /100 ML ABSENT SM 18 -20 9222B " .COMMENTS: i MFTC of C01i'form ' ="This resul °a indicates "that` 'tIie water (was) (was not) of a satisfactory sanitary quality according to ew York State and EPA federal drinking water standard for this parameter. This comment applies to the Total Coliform test only. THE ABO PRO AND RE TE NLY TO MEET ALL REQUIREMENTS OF NELAC, SAMPLES RECEIVED BY THE LAB SUBMITTED BY: / \,I ' fl- AlDerfrt H.TPadovani, M.T.(ASCP) Director ELAP# 10323 39 Arlo Lane Q lENGIN ElE]l ING ]P.IE., P.C. Cortlandt Manor, NY -10567 0 Professional Engineering & Consulting T: (914) 736 -3664 F: (914) 736 -3693 December 23, 2010 Mr, Joseph Paravati _ Assistant Public Health Engineer Putnam County Health Department 1 Geneva.Road Brewster, New York 10509 Re:. _ V & Construction Corp.- Emerald. Ridge . SSTS Construction Permit (Change of Engineer) Certfflcate of Construction Compliance 89 `Marsh Hill Road Emerald Ridge Subdivision Lot 8 Town. of Putnam Valley, iNbW York Section: 84, Bloch: 1, Lot: 68 Dear =Mr. Pa avatt, .... -Please find enciosed the following regarding,an application for a Subsurface'Sewage.Treatment Construction Permit (Change of.Engineer), and also he following regarding an application for a Construction Compliance Certificate at the'above ferenced lot:. 1. One (1) Certified check for $300 f the As =Built fee: No fee for change' of engineer on construction permits . 2. Four (4) Subsurface Sewage Tr'eatment,System'Construction Permit Plans for the above referenced,lot: ' (Change of Engineer)' , 3. Four(4) Subsurface Sewage, Treatment System Construction Permit Applications for the above referenced lot. (Change of Engineer) 4; Four(4) Copies of a two (2) year guarantee signed by the Owner & tne.lnstaller, 5. One (1) Copy'of Satisfactory. Results of a Water Analysis, by a Yorktown Medical. ,Laboratories; a NYSDOH.Approved Laboratory. 6. One (1) E911 Address, Verification Form .verified by the Town of Putnam Valley. 7. Four (4) Certificates of Construction Compliance 8. Four (4) Sets of "As- Built" Plans signed and sealed by Timothy L. Cronin ill, the Design Professional: 9.' One (1) Copy.of As -Built Foundation Survey by Donnelley Land Surveying. . The well completion-report should already be on file with your department because the well on this lot was used as test well #2 during the subdivision phase. Please review the above items at your earliest' convenience and should -you have any questions or require additional information; please do not : hesitate.in contacting me at the number above. .. Respectfully , Submitted, J.- es W. Teed, Jr.. Project Engineer., W. Owner- Val Santucci (V.S. Construction Corp.) File- Paravati - PCDH- Santucd -Marsh Hill Road -Lot 8-SSTS- Trans- JT- 20101223.doc Sherlita Amler, MD, MS, FAAP Commissioner of Health Robert Morris, PE Director of Environmental Health December 28, 2010 Departme. nt of Health 1 Geneva Road, Brewster, NY 10509 Office (845) 808 -1390 . Fax (845) 808 -1937 Cronin Engineering Tim Cronin 39 Arlo Lane Cortlandt Manor, NY 10567 Re: Field Inspection — 89 Marsh Hill Road _..... ;.(T)Vutnani.Valley; TM #.,84: -1 -68 Lot #8 Dear Mr. Cronin: Robert J. Bondi County Executive The above referenced separate sewage treatment system can be backfilled. There are no open comments to be addressed at this time in reference to this Department's open work inspection. If you have any further questions, please contact me at (845) 808 -1390 ext. 43261. Sincerely, c Gene D. Reed Sr. Environmental Health Engineering Aide GDR:cw 89 Marsh Hill Road . PU'TNAM COUNTY DEPARTMENT OF HEALTH -b XMION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE lNSP.E.CnON Date: Inspected by: Street Location 9'/10 -V-5k i / /:/ Owner f, ;5, Co Permit # P_V - 077-0S Subdivision Lot # 1. Sewage System Area a. STS area located as per approved plans .......... :................ b.. Fill section date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped. ....... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/wetlands s ...... ............................... IL Sewage System, a. Septic tank size.- 1,000 .... ..... 1,250 ......... other.. / :............ b. *Septic tank installed level ............ ............................... .. c. 10' minimum from foundation .......... .................:............. d. Distribution 'Box 1. All outlets at same elevation- water.tested .................. Z. Protected below frost .................. .............................:. 3..1V1inimum 2 ft. Original soil between box & trenches e. Junction Bog properly set .......... ............................... 6. 'renc es 1. .Length required o0 Length installed D 2. Distance to watercourse measured -l- ., v o Ft......... . 3. Installed according to plan ....:.... ............................... 4. Slope of trench acceptable 1116 - 1 /32"/foot ............. 5. 101 from .property line - 2.0 ft.- foundations.......... 6. Depth of trench <30 inches from surfa.ce .................. 7. _Room allowed for expansion, 10.0 % ......................... 8. Size of gravel 3/4 - I diameter clean. ................ 9. Depth of gravel in trench 12" minimum ,,,,,,;,,,,,,,,,•„ 1 Q. Pipe ends: ca pped .:.:::.:........ .... ... _ . g: PumD* or I)osedpSystems 1. Size of pump chamber ................ .............:................. 2. Overflow tank .......................... .............. .................. 3. Alarm, visual/audio ......... :.......................................... 4. Pump easily accessible, manhole to grade................. 5. First box baM ed ...:....................... .......................:..... 6. Cycle witnessed by H.D.estimated' flow /cycle........... IM House(Buiidima a. House located per approved plans..... . bNumber of bedrooms ...... ...........lr- :................ IV. Well Well located as per approved plans .. ............................... b. Distance from STS area measured -t-lo o - ft ........... c. Casing. 18" above grade ............ ............................... d. Surface drainage around well acceptable .....:................. V. Overall Workmanship . a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled .......................................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate.. ..._ :.......................... i. Erosion control provided ................. ...... :........................ Rev. 12/02 '10 -12 -21 14;07 FROM- FAY -rao ws) Tf v T -951 P0001/0001 F -117 PUTNAM COUNTY DEPARTMENT OF HEALTH IIDMSION OF ENVI 3ONNS B'AL HEALTH SERVICES ATTENTION 13 jos"N C'ENE REQUEST FQR FINAL INSP,1✓C ION For: Fill All information must be fully completed prior to any Trenches _ inspections being made. PV -07 -08 PCHD Crtruction Permit # Located: 9 Marsh Mill Road (T) (V) Putnam Valley Owner/Applicant Name. V.S. Construction Corp. TM 84 Block I Lot 68 Formerly: /A Subdivision Name: Emerald Ridge Subdivision Lot # Is system fill completed? NIA Date: - Is system complete? Yee Date: 12- 21-2010 Is system constructed as per plans? Yes Is well drilled? Yes Is well located as per plans? Yes Are erosion control measures in place? Yea Date; 2006/2006 I certify that the system(s), as listed, at the above premiS��lia's�ie�ii� and verified their completion in accordance with skw pd approved plans and the _Standards, .Rules and Reg alit x�S c�f't 1e Date. December 21, 2010 Certified by: and I have inspected ruction Permit and �nty Department of PERA Lic. Address: 39 Arlo Lane, Cortlandt Manor, IVY 1056' " - °='' =. ; ::: 087679 # Comments: Form FIR -99 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # Located at 8.9 MARSH N1. READ Town or Village Subdivision name E(ggm p Rag- Subd. Lot # I? Tax Map V q"'.. Block I Lot ' (Dd Date Subdivision Approved �MWBE9 19. 24o Owner /Applicant Name V3, CoNg uXo" bri CO oc Renewal X`' Revision Date of Previous Approval Mailing Address ' C90TON DAM RD � , ® 0 N W4 Al &x zip JA) 562 - Amount of Fee Enclosed Building Type g81fJW4 %im Lot Area ° No. of Bedrooms A- Design Flow GPD $60 Fill Section Only Depth Volume Separate Sewerage System to consist of 11.500 gallon septic tank and 1106 4, F, OF liul( R6F.&C &M 7 NC IiPE IN Zf. 4AVEL, Other Requirements: Noma To be constructed by '� 15, D . Address Water Supply: Public Supply From Address • ar'c - .. ,. Private=s ' � 1 Drilled -b� � ..... ,. ._ _......... •Address �� �•- '- !'�`�:_ : _ .... _ I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written' - guarantee M 1 be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in ood hng:.:condition any part of said sewage treatment system during the period of two (2) years immediately followingtle -d "ate'ofthe.issuance of the approval of the Certificate of Construction Compliance of the original lep, , ." system or any repairs thereto:.,. Signed: R.A. Date Address 39A "Li� gndhpTL A14 IZ.r+ License # � APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Approved fo charge of domestic sanitary sewage only. P6 Title: 1pEif, Date: - HD File; Yellow copy - Build g Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 Z-19,9• '36'W *24 L.F. F 4"0 �SDR_35 P C PIPE 10B 66, (2- 45-'BENDS) 1(400 L.F LOT 8 Area-38f, 764 Sq. Ay. . =8.7641 Acres F-1414 10, 1. 1 EXPANSION p CA 100% AREA 1 Q S 14 `� �� ;J A;;Bugt (known as test well #2 for Emerald Ridge Subdivision) S BUILT SEP' 500 GALLON BENDS C 51.1 -7 / I� o JUNCTION BOX (TYPICAL INSTALLA 7_ HOPE FOOTING DRAIN "I ►'o LOT 9 P!, AS-bUILT S.S.T.S. LOCATION DISTANCES ei DESCRIPTION B SEPTIC TANK CENTER 19.5'. 77.7' JU . NCTION.BOX 1 (1) 28.0', �:`; 62.0' JUNCTION BOX 2 (2) 33.0! .59.9' JUNCTION BOX 3 (3) 38.3' 58.4' JUNCTION BOX 4 (4) 41.7'' 57:5' JUNCTION BOX 5 (5) 49.3" 57.2' JUNCTION BOX 6 (6) 55,01 57.6' JUNCTION BOX 7 (7) 60.8.1, 58.51 JUNCTION BOX 8 (8) 6q.5 60.01 TRENCH I END (9) 73.1 112.5' J TRENCH 2 END (10) 75.2', TRENCH -3 END (11) 77.6 E H 4 END (12): N161 80.5., 110.1 TRENCH 5 END (13) 8 6! 110.0- TRENCH '6 END, (14). 87.1 j TRENCH•7 END (15), 90.8' `,110.6' TRENCH 8 -END _(16) 948' 11 A'. ASBUILT WELL LOCATION DISTANCE ASBUILT WELL LOCATION DISTANCE